Maybe for new hires getting a lower rate, but if they try to cut back pay for doctors/nurses after the pandemic, you'll probably just end up with a strike. We already did jack shit for healthcare workers and a base pay decrease would infuriate people.
I don't know where pressures for healthcare pay are going. I'm just saying that, if you are an employer facing a work week change, you can make this argument to higher paid workers:
- Under the previous contract, most of you worked 50 hours and got 40 * $100/hour plus 10 * $150/hour = $5500/week.
- Under the new contract, we expect most of you will still work 50 hours, and will get 36 * $100/hour + 14 * $150/hour = $5700/week. This is on the par with the 3.6% wage increase you expected.
Vs. having to move base pay to $103-104/hour.
It sure increases the pressure to find new employees, though, because you can save a whole lot of overtime pay.